Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $193.00	Facility		$19.00	$19.00	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.47 / $98.70	Professional		$18.50	$19.47	$98.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $74.11 / $74.11	Facility		$74.11	$74.11	$74.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $36.36 / $36.36	Professional		$30.30	$36.36	$36.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $36.71 / $52.34	Professional		$20.00	$36.71	$52.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $46.23 / $92.50	Professional		$34.60	$46.23	$92.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $42.48 / $74.83	Professional		$30.68	$42.48	$74.83